Individual provider · Type 1 NPI

Nishant Gautam

Family Medicine Physician · Longview, WA

NPI number 1295416741 Active

Practice location

1718 E Kessler Blvd
Longview, WA 98632-1842

Call (360) 747-5800 Map

Fax (360) 575-3846

Mailing address

4864 Jackson St
Monroe, LA 71202-6400

Other practice locations

  • 4864 Jackson St, Monroe, LA 71202-6400 · (318) 330-7600

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMD70045885 (WA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

32 other providers at this address

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About NPI 1295416741

Nishant Gautam's National Provider Identifier is 1295416741, issued on Jul 27, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Longview, WA. The record was last updated on May 6, 2026.